Difference between revisions of "Heartland virus"

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==Background==
 
==Background==
*New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee
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*New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee<ref>Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 11
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</ref>
 
*Transmitted by lone star tick
 
*Transmitted by lone star tick
*8 reported cases (as of 2014)
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*8 reported cases (as of 2014)<ref>http://www.cdc.gov/ncezid/dvbd/heartland/</ref>
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{| class="sortable wikitable"
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|+ ''Heartland virus'' cases
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|-
 +
! Year
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! Location
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! Deaths
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! Cases
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|- valign="TOP"
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| 2009
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| Northwestern Missouri
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| 0
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| 2
 +
|- valign="TOP"
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| 2012-2013<ref>http://www.medscape.com/viewarticle/822710</ref>
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| Missouri, Tennessee<ref>http://cid.oxfordjournals.org/content/early/2014/06/09/cid.ciu434.abstract</ref>
 +
| 1
 +
| 6
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|- valign="TOP"
 +
| 2014
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| Missouri,<ref>http://www.tahlequahdailypress.com/local/x701910561/Taking-up-arms-against-Heartland-disease</ref> Oklahoma<ref>http://www.cbsnews.com/news/rare-heartland-virus-kills-man-in-oklahoma/</ref>
 +
| 1
 +
| 2
 +
|- valign="TOP"
 +
|}
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==Clinical Features==
 
==Clinical Features==
 
*Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias
 
*Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias
*Diarrhea
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*[[Diarrhea]]
 
*Leukopenia, thrombocytopenia, elevated transaminases
 
*Leukopenia, thrombocytopenia, elevated transaminases
 
==Differential Diagnosis==
 
==Differential Diagnosis==
#[[Tick Borne Illness]]
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{{Tick borne illnesses DDX‎}}
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==Workup==
 
==Workup==
 
*No confirmatory testing available
 
*No confirmatory testing available
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*Supportive measures
 
*Supportive measures
 
==Disposition==
 
==Disposition==
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*Discharge unless patient with other serious medical illness
  
 
==See Also==
 
==See Also==
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*[[Tick borne illnesses]]
  
 
==External Links==
 
==External Links==
  
==Sources==
+
==References==
Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 11
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<references/>
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 +
[[Category:ID]]

Latest revision as of 12:41, 24 September 2016

Background

  • New phlebovirus discovered in NW Missouri 2012, cases also describe in Tennessee[1]
  • Transmitted by lone star tick
  • 8 reported cases (as of 2014)[2]
Heartland virus cases
Year Location Deaths Cases
2009 Northwestern Missouri 0 2
2012-2013[3] Missouri, Tennessee[4] 1 6
2014 Missouri,[5] Oklahoma[6] 1 2

Clinical Features

  • Similar to other tick-born illnesses: fatigue, fever, arthralgias and myalgias
  • Diarrhea
  • Leukopenia, thrombocytopenia, elevated transaminases

Differential Diagnosis

Tick Borne Illnesses

Workup

  • No confirmatory testing available

Management

  • Supportive measures

Disposition

  • Discharge unless patient with other serious medical illness

See Also

External Links

References